| NPI | 1568426476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA NP 4658) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA RN 283687) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NP 4658) | |
| 363LC1500X Nurse Practitioner, Community Health (Licence: CA NP 4658) | |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2012-04-12 |